Participant Enrolment Form

Participant Enrolment Form
Section 1: Participant Details
Legal First Name*
Middle Name
Legal Last Name*
Date of Birth*

DayMonthYear
Date
Gender*

MaleFemale
Country of Birth:*
USI Number*
Employment Status*

Full time EmployeePart time EmployeeEmployed - unpaid worker in a family businessEmployerSelf Employed – not employing othersUnemployed – seeking part-time workUnemployed - Seeking Full time workNot employed - not seeking employment
Section 3: Employer Details (If applicable)
Business Name
ABN
Address
Contact Name
Employer Email Address
example@example.com
Employer Phone Number
Section 4: Participants Contact Details
Phone Number:*
Email Address*
example@example.com
Residential Address*
Post Code*
State*
Country*
Emergency Contact Name*
Emergency Contact Number*
Relationship With Emergency Contact*
Are you of Aboriginal or Torres Strait Islander Origin?*

YesNo
Do you speak a language OTHER Than English at home?*

YesNo
If YES, which language do you usually speak?
How well do you speak english?*

Very WellWellNot wellNot at all
Do you require any language, literacy or numeracy assistance?*

YesNo
What is your highest COMPLETED school level?*

Never attended schoolYear 8 or belowYear 9 or equivYear 10 or equivYear 11 or equivYear 12 or equiv
In which YEAR did you complete that school level?*
Are you still attending secondary school?*

YesNo
Since leaving school, have you COMPLETED any of the following qualifications?

Cert ICert IICert IIICert IVUndergraduate DiplomaAssociate DiplomaDegree or Postgraduate Diploma
If YES, what was the name of the qualification(s)?
Section 6: Disability
Do you consider yourself to have a permanent disability?*

YesNo
If YES, tick ANY applicable boxes

Hearing/DeafPhysicalIntellectualLearningMental IllnessAcquired Brain ImpairmentVisionMedical ConditionOther
If you require assistance for a disability, please give details:
Section 7: Study Reason
Of the following categories, which BEST describes your main reason for undertaking this course? (Tick ONE box only)*

To get a jobIt was a requirement of the jobTo develop my existing businessI wanted extra skills for my jobTo start my own businessTo get into another course of studyTo try for a different careerFor personal interest or self developmentTo get a better job or promotionOther reasons
Section 8: Recognition of Prior Learning
Are you seeking Recognition of Prior Learning?*

YesNo
The information you have provided will remain private and confidential.

I have read and accepted the terms and conditions of the fees and refund policy as described in the Participant Handbook.
Section 9: Privacy Notice & Student Declaration
I am aware that the training I am enrolling in is being delivered by under an auspice agreement with Thoughtplanters (Australia) RTO#40739, and certificates will be issued by Thoughtplanters (Australia) Pty Ltd.

I give permission for Thoughtplanters (Australia) Pty Ltd or Arboreal Training to discuss my training progress and results with my employer (if applicable), ASQA, Department of Education and other appropriate people as deemed necessary by Thoughtplanters (Australia) Pty Ltd.

I give permission for Thoughtplanters (Australia) Pty Ltd or Arboreal Training to record evidence of my participation and assessment, in written, verbal, photographic (including video) formats.

I give permission for Thoughtplanters (Australia) Pty Ltd or Arboreal Training to use any recorded evidence for future
I give permission for Thoughtplanters (Australia) Pty Ltd or Arboreal Training to use any recorded evidence for future promotional, commercial and educational purposes.*

YesNo
I give permission for Thoughtplanters (Australia) Pty Ltd or Arboreal Training to release my training outcome to a third party for verification purposes.*

YesNo
I acknowledge that I have read the above and understand the information provided. I confirm that this information is true and correct.
Name*

First NameLast Name
Signature*

Clear
Date*

DayMonthYear
Date
During this training course I understand that:

My rights and obligations have been defined in detail in the Participant handbook, and that these include:

My obligation at all times to conduct myself safely and in adherence to all relevant legislation.

I will actively attempt all training and assessment tasks with serious effort.

That I will comply with all safe and lawful requests

I will arrive on time and will return on time from all breaks.

That I will not bully, abuse, vilify or fail to treat all people participating, associated with, or in the vicinity of Thoughtplanters (Australia) training venues with the utmost respect and courtesy

Thoughtplanters (Australia) will provide quality training and assessment services in a competent manner through the provision of quality resources and staff.

Training at Thoughtplanters (Australia) will be performed by qualified trainers with the required knowledge and current in the needs of industry.

8. their obligations with regard to completion of enrolment details, and financial payments

Thoughtplanters (Australia) guarantees to provide training and assessment services to customers whom have met

In the event that Thoughtplanters (Australia) cannot deliver a course, a full refund of all monies paid to Thoughtplanters (Australia) will be made.

Training will not be offered to participants whom fail to wear PPE or fail to pay for the course.

That Thoughtplanters (Australia) can choose to terminate my training if I fail to uphold these standards.
Name*

First NameLast Name
Signature*

Clear
Date*

DayMonthYear
Date
Please upload a picture of a government issued ID e.g. Driver license or passport*

Cancelof
Should be Empty:

Participant Enrolment Form

Section 1: Participant Details

Section 4: Participants Contact Details

Section 6: Disability

Section 7: Study Reason

Section 8: Recognition of Prior Learning

Section 9: Privacy Notice & Student Declaration